Individual provider Active NPI

Megan Marisa Labelle, CRNP

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1932755089
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R185319 Issued in MD
Practice address
8015 Apple Valley Dr
Pasadena, MD 21122-4174
Phone
(443) 694-5555
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R185319 MD Primary

Addresses

Primary practice location

8015 Apple Valley Dr
Pasadena, MD 21122-4174

Mailing address

27 Belleview Dr
Severna Park, MD 21146-4845
Phone (860) 961-2950

Other practice location 1

27 Belleview Dr
Severna Park, MD 21146-4845
Phone (860) 961-2950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207000034 MD Practitioner - Nurse Practitioner 6608202825 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 5, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 5, 2021 Accepting new patients
Onsite Medical Palliative Care LLC PastSince Jun 1, 2021 Accepting new patients

Locations

183 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 266-9200

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste 210
Annapolis, MD 21401
Phone (410) 573-5300

Interoperability endpoints

  • Direct secure messaging: megan.labelle.1@17833.direct.athenahealth.com
  • Direct secure messaging: mlabelle120987@direct.aahs.org
  • FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1932755089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BELLEVIEW DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464845",
            "telephone_number": "860-961-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 APPLE VALLEY DR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224174",
            "telephone_number": "443-694-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Belleview Dr",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464845",
            "country_code": "US",
            "telephone_number": "860-961-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "MEGAN",
        "middle_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.